Charles Joseph Hornberger Jr., OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV005695 Issued in NY

Practice address

3192 Walden Ave
Depew, NY 14043-2878

Phone

(716) 684-3124

NPI assigned

Jun 14, 2005

Reactivated

Dec 14, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

New England College of Optometry, 1995

Medicare assignment

May accept Medicare assignment

Group practices

Schutz Optical Co IncGroup PAC ID 0244329647, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Schutz Optical Co Inc

  • Optician
  • Depew, NY
  • NPI 1295808079

  Optometrist

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1376548735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3192 WALDEN AVE",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140432846",
            "telephone_number": "716-684-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3192 WALDEN AVE",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140432878",
            "telephone_number": "716-684-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNBERGER",
        "first_name": "CHARLES",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2011-10-13",
        "deactivation_date": "2005-07-19",
        "reactivation_date": "2006-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• HJNR Home Care
• Millissa Hock
• Melissa Brooke Hoffman, MD
• Lauren Holgate, MS CCC-SLP
• Jennifer M Honer, FNP
• Howard Physical Therapy, PLLC
• Kathleen Mary Howard, PT
• Mark E Howard, P.T.,D.P.T.,O.C.S.
• Laurie Hubbard, ED.M.
• Bailey K Huber, DPT

• Optometrist in Depew, NY
• Providers in Depew, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.